Managing Frequent Masturbation: Seeking Medical Advice for Control

Frequent masturbation and the desire to take medication for control, as well as urinary issues?

My situation is as follows: I am 20 years old and have been masturbating frequently since I was in sixth grade, about once a day.
The frequency decreased after I started college.
However, I feel like I might be addicted or have a high sex drive.
I have tried various methods, such as exercise and dietary changes, to control the frequency of masturbation, but it feels similar to someone with a smoking addiction; my willpower is insufficient to restrain myself, and the frequency remains high, possibly due to an inability to effectively reduce my desires.

Questions: 1.
I would like to ask the doctor if I should see a urologist or an endocrinologist if I want to suppress the frequency of masturbation through medication.
2.
Can medication effectively suppress sexual desires?

Niming, 20~29 year old female. Ask Date: 2017/01/17

Dr. Lin Wenxu reply Urology

It is recommended to engage more in leisure activities that interest you to avoid having too much free time for overthinking.
If you still cannot effectively reduce the desire and frequency of masturbation, you may consult a mental health clinic to check for any conditions similar to obsessive-compulsive disorder and discuss medication management.

Reply Date: 2017/01/17

More Info

Managing frequent masturbation can be a complex issue that intertwines psychological, physiological, and behavioral factors. It is important to approach this topic with sensitivity and an understanding of the underlying mechanisms that may contribute to your experience.

Firstly, it is essential to recognize that masturbation is a normal sexual activity that many individuals engage in. However, when it becomes compulsive or interferes with daily life, relationships, or responsibilities, it may be beneficial to seek professional help. Your concern about feeling "addicted" or having an excessively high sex drive is valid and warrants a thorough evaluation.

1. Which Specialist to Consult?
If you are considering medication to help manage your sexual urges, it would be advisable to consult a psychiatrist or a psychologist who specializes in sexual health or behavioral issues. While urologists and endocrinologists can provide insights into physical aspects of sexual health, such as hormonal imbalances or reproductive health, a mental health professional can address the psychological components of compulsive behaviors. They can help you explore the reasons behind your urges, assess any underlying anxiety or stress, and develop coping strategies.

2. Medication Options:
There are various medications that can help manage compulsive sexual behaviors. Selective serotonin reuptake inhibitors (SSRIs), commonly used to treat depression and anxiety, have been found to reduce sexual desire in some individuals. Medications like fluoxetine (Prozac) or sertraline (Zoloft) may be prescribed, but it is crucial to have a comprehensive evaluation by a healthcare professional to determine the most appropriate treatment for your specific situation.

Additionally, other classes of medications, such as anti-androgens or mood stabilizers, may be considered in certain cases. However, these should only be prescribed after a thorough assessment and discussion of potential benefits and side effects.

3. Behavioral Strategies:
In conjunction with medication, behavioral strategies can be highly effective. Cognitive-behavioral therapy (CBT) is a structured approach that can help you identify triggers for your urges and develop healthier coping mechanisms. Techniques such as mindfulness, stress management, and engaging in alternative activities (like exercise or hobbies) can also be beneficial in reducing the frequency of masturbation.

4. Lifestyle Modifications:
Maintaining a healthy lifestyle can significantly impact your sexual health. Regular physical activity, a balanced diet, and adequate sleep can help regulate your mood and reduce anxiety, which may, in turn, help manage your sexual urges. Additionally, avoiding triggers such as pornography or situations that lead to temptation can be helpful.

5. Understanding Sexual Health:
It is also important to educate yourself about sexual health and understand that fluctuations in sexual desire are normal. Having open discussions about sexuality, whether with a therapist or trusted individuals, can help normalize your feelings and reduce any associated shame or guilt.

In conclusion, if you are struggling with frequent masturbation and feel it is becoming problematic, seeking help from a mental health professional is a crucial step. They can provide a safe space to explore your feelings, assess any underlying issues, and develop a tailored treatment plan that may include medication, therapy, and lifestyle changes. Remember, you are not alone in this, and there are effective strategies and support available to help you regain control over your sexual health.

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